Everyone knows that hemorrhoids are easy to get when you are pregnant. Now that the two-child policy has been fully liberalized, the concern of getting hemorrhoids during pregnancy has become even more common. Some mothers have already had hemorrhoids during their first pregnancy and have suffered a lot. It’s a real concern to get pregnant again! This is a matter that directly affects the future generations of all of us, so it is important to pay attention to it! What we call “hemorrhoids” is a popular language, while the medical term is “piles”. Hemorrhoids are normal physiological tissues of the human body. Just like everyone has nose, ears and eyes, everyone has hemorrhoids. Hemorrhoids, in the normal human body plays a role with the sphincter muscle, together play a role in closing the anus, to avoid anal incontinence. It is only under the action of many factors that the supporting structure of hemorrhoids loosens, leading to hemorrhoids moving downward and eventually prolapsing out of the anus, accompanied by the dilation of blood vessels, which leads to the appearance of the relevant symptoms. The three main causes of hemorrhoids during pregnancy Hemorrhoids appear during pregnancy, mostly in the third trimester. It is mainly because the fetus presses on the blood vessels in the pelvis, including arteries and veins, causing impaired blood return and vasodilation. Hemorrhoids appear in pregnancy for reasons other than pressure on blood vessels: constipation, straining to defecate. Symptoms of hemorrhoids during pregnancy May appear only as a skin flap. Bleeding and prolapse are common. There are also: anal itching and a feeling of incomplete evacuation. Prevention of hemorrhoids during pregnancy There are several ways to prevent hemorrhoids during pregnancy. Unless the hemorrhoidal prolapse is so severe that it meets the general indications for surgical removal of hemorrhoids, preventive removal of asymptomatic, non-lifelong hemorrhoids prior to pregnancy is generally not recommended: 1. Avoiding constipation, which means keeping the bowels clear, preferably once a day. 2. Soften the stool. To do this, drink plenty of water, eat more leafy greens and fruits, avoid sour and spicy, and move around appropriately. 3, Develop good bowel habits, don’t strain to defecate, and don’t read books, ipads, or cell phones while going to the restroom. Treatment of hemorrhoids during pregnancy From the overview, we can know that hemorrhoids are normal physiological tissues of the human body, so unless there are clear indications for surgery (for surgical indications, please search for previous articles in this public number), doctors generally do not recommend surgical removal of hemorrhoids. Once hemorrhoids appear, depending on the situation, the treatment is not the same, the principle is to avoid surgery as much as possible. Because early pregnancy will be worried about anesthesia, surgery affect fetal development, late pregnancy will be worried about causing preterm delivery. 1, if only simple bleeding, no prolapse, you can soften the stool, do not force defecation, often can be improved on their own. 2, if the effect is not good, you can sit in the bath. How to sit in the bath, please search for “sit in the bath” in this public number to get the relevant articles (in the public number reply to the key words can be searched). 3, if there are hemorrhoids out of the anus, as soon as possible with the hand return (that is, the hemorrhoids stuffed back). To avoid further deterioration, resulting in embedded. It is recommended to lie down as soon as possible after the return, left lateral position. The next day, no matter whether there is no further prolapse, it is also recommended that routine sitz bath. 4, if the hemorrhoids out, they can not return, this time to seek medical attention as soon as possible. To the hospital, find a specialist, the doctor will help to return, as well as further treatment (local swelling, etc.). 5, if the hemorrhoids prolapse for a longer period of time, incarcerated serious can not be returned, or even has been necrosis, should be timely surgery. Differential diagnosis of hemorrhoids during pregnancy Actually, we should talk about this first! Symptoms associated with hemorrhoids during pregnancy, as with non-pregnant women, care should be taken to exclude the possibility of polyps, rectal cancer, anal fissure, diverticula, etc. before a diagnosis can be made. Clinically, there are pregnant women who have blood in the stool after pregnancy, at first thought it was hemorrhoids, self-treatment, and later to only found rectal cancer. Therefore, it is recommended that you have the relevant symptoms, or early to the hospital for medical treatment. Hemorrhoids will not affect the development of the fetus, but if delayed treatment, or misdiagnosis, may bring disastrous consequences.